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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> ~'~ ON-SI3'E~SEWAGE SYSTEM INSTALLATION INSPECTION <br /> OWNER: f'"7~-f~.~-,4~"- ~_ S_ITE NO... ~C~,¢'~ ~ ~' <br />SEPT ="' _--~¢,,~¢~ ~ ~i~M,T NO. ¢ ~_~ <br /> CTANK: ~.~ . ~' ~ ~ ~ DISPOSAL FIELD' <br /> NO. GALLONS: ¢~/5~ ~ ~ TOTAL LENGTH: <br /> MATERIAL:~/ // PIPE MAT'L: ~- <br /> MANUFACTURER: ~, ~ TRENCH DEPTH: <br /> <br />EFFLUENT SEWER MAT'L- ~- ~¢-- ~ u~v~ ~_ L' <br /> · , ...... ~ ~ : ~ ~~ <br /> <br />In accordance wi(h Ore,on Re~ise~ ~t~ute 454.665~ this ~ertificate is issued as evidence of sa~ <br />completion of a subsurface or alter~ s~a~ disposal System at the above location. <br />,NSPECTED BY~ ~ ~ ~ DATE' /~/¢ / <br /> <br /> <br />